PT  - JOURNAL ARTICLE
AU  - OTSUBO, RYOTA
AU  - YANO, HIROSHI
AU  - MATSUMOTO, MEGUMI
AU  - TANAKA, AYA
AU  - NONAKA, TAKASHI
AU  - HIDAKA, SHIGEKAZU
AU  - MATSUMOTO, KEITARO
AU  - TSUCHIYA, TOMOSHI
AU  - SATO, SHUNTARO
AU  - NAGAYASU, TAKESHI
TI  - Comparison of Central Venous Port Procedures Between Puncture <em>vs</em>. Cut-down and Residents <em>vs</em>. Senior Surgeons
AID  - 10.21873/invivo.12369
DP  - 2021 Mar 01
TA  - In Vivo
PG  - 1197--1204
VI  - 35
IP  - 2
4099  - http://iv.iiarjournals.org/content/35/2/1197.short
4100  - http://iv.iiarjournals.org/content/35/2/1197.full
SO  - In Vivo2021 Mar 01; 35
AB  - Background/Aim: To compare operative results between venous puncture (P) with real-time ultrasonography vs. cut-down (CD) with preoperative ultrasonography for totally implantable central vein access device (TICVAD) implantation performed by residents (R) vs. senior surgeons (S). Patients and Methods: Adult oncologic patients (n=268) undergoing TICVAD implantations were retrospectively compared between 172 Ps and 96 CDs. Then, we compared Ps performed by R (P-R, n=131) and S (P-S, n=41) and CDs performed by R (CD-R, n=59) and S (CD-S, n=37). Results: Median operation times were 40 min in the P group and 53.5 min in the CD group, and times were significantly shorter for P-S and CD-S. Completion rates were comparable for each method and each surgeon. Intraoperative complication rates were 3.8% (P-R), 2.4% (P-S), and 0% (CD-R and CD-S). Conclusion: P with real-time ultrasonography did not avoid complications compared to CD with preoperative ultrasonography. The latter performed safely even by residents.